Individual
REBECCA RUSSELL DARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P.
Contact information
Practice address
1426 1/2 ANTHONY RD, AUGUSTA, GA 30904-4702
(864) 590-5652
Mailing address
1426 1/2 ANTHONY RD, AUGUSTA, GA 30904-4702
(864) 590-5652
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4754
SC
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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